01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2024-11-18 | 7 | 2024-11-18 | 7 |
| Cycle 2 | 2023-02-02 | 10 | 2023-02-02 | 6 |
| Cycle 3 | 2021-08-02 | 0 | 2021-08-02 | 12 |
CMS CCN 1753992026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Cheney Golden Age Home
724 N Main · Cheney, KS 67025 · Sedgwick County
Certified beds40CMS provider file
Recent citation rows42current CMS citation release
Penalty rows0current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
42 rows in the current release
0 rows carry G–L scope/severity codes; 0 carry J–L. 8 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2024-11-18 · HEALTHF0550Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Correction field: Deficient, Provider has date of correction · 2024-12-19 · complaint2024-11-18 · HEALTHF0623Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Correction field: Deficient, Provider has date of correction · 2024-12-19 · complaint2024-11-18 · HEALTHF0657Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Correction field: Deficient, Provider has date of correction · 2024-12-19 · complaint2024-11-18 · HEALTHF0689Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2024-12-19 · complaint2024-11-18 · HEALTHF0730Severity F · widespread; potential for more than minimal harm
Nursing and Physician Services Deficiencies
Observe each nurse aide's job performance and give regular training.
Correction field: Deficient, Provider has date of correction · 2024-12-19 · complaint2024-11-18 · HEALTHF0851Severity F · widespread; potential for more than minimal harm
Administration Deficiencies
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Correction field: Deficient, Provider has date of correction · 2024-12-19 · complaint2024-11-18 · HEALTHF0880Severity F · widespread; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2024-12-19 · complaint2024-11-18 · FIREK0293Severity F · widespread; potential for more than minimal harm
Egress Deficiencies
Have properly located and lighted "Exit" signs.
Correction field: Deficient, Provider has date of correction · 2024-12-302024-11-18 · FIREK0321Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Correction field: Deficient, Provider has date of correction · 2024-12-182024-11-18 · FIREK0362Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Correction field: Deficient, Provider has date of correction · 2024-12-302024-11-18 · FIREK0363Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Correction field: Deficient, Provider has date of correction · 2024-12-182024-11-18 · FIREK0521Severity F · widespread; potential for more than minimal harm
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Correction field: Deficient, Provider has date of correction · 2024-12-182024-11-18 · FIREK0918Severity F · widespread; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Correction field: Deficient, Provider has date of correction · 2024-12-182024-11-18 · FIREK0921Severity F · widespread; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure that testing and maintenance of electrical equipment is performed.
Correction field: Deficient, Provider has date of correction · 2024-12-182023-02-02 · HEALTHF0582Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Correction field: Deficient, Provider has date of correction · 2023-02-152023-02-02 · HEALTHF0641Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Correction field: Deficient, Provider has date of correction · 2023-02-152023-02-02 · HEALTHF0657Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Correction field: Deficient, Provider has date of correction · 2023-02-152023-02-02 · HEALTHF0677Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Correction field: Deficient, Provider has date of correction · 2023-02-152023-02-02 · HEALTHF0689Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2023-02-152023-02-02 · HEALTHF0695Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Correction field: Deficient, Provider has date of correction · 2023-02-152023-02-02 · HEALTHF0755Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Correction field: Deficient, Provider has date of correction · 2023-02-152023-02-02 · HEALTHF0756Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Correction field: Deficient, Provider has date of correction · 2023-02-152023-02-02 · HEALTHF0758Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Correction field: Deficient, Provider has date of correction · 2023-02-152023-02-02 · HEALTHF0812Severity F · widespread; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2023-02-1503 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| No penalty row appeared in the August 2026 penalties file. | |||
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- CHENEY GOLDEN AGE HOME INCOrganization · DIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 09/01/1966
- BALL, LINDAIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 11/26/2018
- BEAUCHAMP, LINDAIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 08/24/2020
- KOHLER, TERRYIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 03/08/2021
- LOCKE, CHERYLIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 07/29/2024
- MIDDLETON, JASONIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 06/09/2022
- VOTH, PAULAIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 05/29/2018
- JONES, NICKYIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 01/01/2020
- MARTIN, JESSICAIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 08/18/2024
- MARTIN, JESSICAIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 08/18/2023
- KOHLER, GLENIndividual · CORPORATE OFFICERNOT APPLICABLE · since 01/01/2006
- BALL, LINDAIndividual · TRUSTEE OF THE SNFNOT APPLICABLE · since 11/26/2018
- BEAUCHAMP, LINDAIndividual · TRUSTEE OF THE SNFNOT APPLICABLE · since 08/24/2020
- KOHLER, GLENIndividual · TRUSTEE OF THE SNFNOT APPLICABLE · since 01/01/2006
- KOHLER, TERRYIndividual · TRUSTEE OF THE SNFNOT APPLICABLE · since 03/08/2021
- LOCKE, CHERYLIndividual · TRUSTEE OF THE SNFNOT APPLICABLE · since 07/29/2024
- MIDDLETON, JASONIndividual · TRUSTEE OF THE SNFNOT APPLICABLE · since 06/09/2022
- VOTH, PAULAIndividual · TRUSTEE OF THE SNFNOT APPLICABLE · since 05/26/2018
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours4.18per resident day
RN hours0.48per resident day
Weekend nurse hours3.69per resident day
Staff turnover38.3%CMS reported field
06 / LOCAL RECORDS
Open the Kansas ledger →Other published facilities nearby
No second facility in the same city met the directory rule.